Don Gage - 1986/07/01 - 1986/12/31
SEMI-ANNUAL STATEMENT OF NO ACTIVITY
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JAN 1987
FORM 425
1986
For use by non-controlled committees which have not received any
contributions and have not made any expenditures during the six-month
period covered by a semi-annual statement. In the case of a recipient
committee, if the committee has any outstanding loans made or received,
this form may NOT be used for the semi-annual statement on which the
"Annual Report of Outstanding Loans" must be completed.
Type or Print in Ink
A
OFFICIAL USE ONLY
NAME OF COMMITTEE:
Committee to Elect Don Gage
ADDRESS OF COMMITTEE: NO. AND STREET CITY
8352 Church Street Gilroy
1.0. NUMBER
11810867
STATE
California
ZIP CODE
95020
AREA CODE /PHONE NUMBER
(408)848-2727
NAME OF TREASURER:
John Thomas Burns
PERMANENT ADDRESS OF TREASURER:
7531 Kentwood Court
NO. AND STREET CITY
Gilroy
STATE
California
ZIP CODE
95020
AREA CODE/BUSINESS PHONE NUMBER
(408) 8483663
DATE OF ELECTION (MO.. DAY, YR.): !IF APPliCABlE)
No contributions have been received and no expenditures have been made during the period of
July 1, 1986
to
December 31, 1986
VERIFICATION
I have used all reasonable diligence in preparing this Statement. I have reviewed the Statement and to the best of my
;"11\Jvviedge the information contained herein is true and complete.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 1-21-87
at
Gilroy, California 95020
(CITY ANO STATE)
(DATEI
By
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(SIGNA TVRE OF TREASURER)
For information required to be provided to you pursuant to the Information Practices Act of 1977, see "Information Manual on Campaign
Disclosure Provisions of the Political Reform Act."